【摘要】 为探讨身体脂肪分布对血脂、血糖及血压水平的影响，调查了江苏海门农村２５～７４岁自然人群８６９例，测量身高、体重、体重指数（ＢＭＩ）、腰围、臀围、腰臀比（ＷＨＲ）及收缩压（ＳＢＰ）、舒张压（ＤＢＰ），同时测定血清总胆固醇（ＴＣ）、高密度脂蛋白胆固醇（ＨＤＬ－Ｃ）、甘油三酯（ＴＧ）、低密度脂蛋白胆固醇（ＬＤＬ－Ｃ）和空腹血糖（ＦＢＳ）。结果显示：无论男女，随ＷＨＲ水平升高，ＴＣ、ＴＧ、ＬＤＬ－Ｃ、ＦＢＳ、ＳＢＰ、ＤＢＰ显著升高，ＨＤＬ－Ｃ、ＨＤＬ－Ｃ／ＴＣ显著下降，调整年龄、ＢＭＩ后，男性ＴＣ、ＴＧ、ＦＢＳ，女性ＴＧ、ＦＢＳ、ＳＢＰ和ＤＢＰ仍随ＷＨＲ水平升高而显著升高。结果提示ＷＨＲ是影响人群血脂、血糖及血压水平的重要因素，尤其对血脂、血糖更为重要。更多还原

【Abstract】 Abstract To assess the role of body fat distribution on serum lipids, blood sugar and blood pressure levels,a survey was carried out in a rural area, Haimen county, Jiangsu province. Body height and weight, body mass index (BMI), waist and hip circumferences, waist/hip circumference ratio (WHR), systolic and diastolic blood pressure (SBP, DBP) were measured in randomly sampled 869 (484 men, 385 women) adults aged 25-74 years. Fasting serum total cholesterol (TC),high density lipoprotein cholesterol (HDL-C), triglycerides (TG), low density lipoprotein cholesterol (HDL-C) and fasting blood sugar (FBS) were also measured. In both men and women, TC, TG, LDL-C, FBS, SBP and DBP significantly increased while HDL-C and HDL-C/TC significantly decreased with increased of WHR. After adjusting age and BMI, TC, TG and FBS in men,TG, LDL-C, FBS, SBP and DBP in women still showed significant increase with increased of WHR.The results suggest that body fat distribution (represented by WHR) might influence serum lipids, blood sugar and blood pressure levels, especially in women.更多还原